Dr. Minutillo and his team want every aspect of your child's visits to our office to be as pleasant and enjoyable as possible. We make appointment reminder telephone calls and send recall cards to remind you of your child's upcoming appointments. Our reception area is complete with puzzles for younger children and a video room with games for the older children. Our treatment areas have televisions and nitrous oxide laughing gas to help calm the fears of children who experience anxiety during a visit. Dr. Minutillo also provides treatment under general anesthesia in his office or at one of the area hospitals where he is on staff.
The American Association for Orthodontists recommends that every child have an orthodontic evaluation by the age of 7. Early detection and treatment gives your child the edge: a much better chance for natural and normal development. By working with the natural growth instead of against it, we can prevent problems from becoming worse, and give your child a lifetime of healthy smiles!
Early treatment should be initiated for:
- Habits such as tongue thrusting and thumb sucking
- A constricted airway due to swollen adenoids or tonsils
- Mouth breathing or snoring problems
- A bad bite
- Bone problems ( i.e. narrow or underdeveloped jaws )
- Space maintenance ( for missing teeth )
Functional (Growth) Appliances and/or Limited Braces - Ages 5-12
In the first phase, the orthodontist is interested in the position and symmetry of the jaws, future growth, spacing of the teeth, breathing and other oral habits which may result in abnormal dentofacial development if left untreated.
Treatment during this phase of development is often very successful and can sometimes eliminate the need for future orthodontic treatment.
Braces - Ages 12 to 14
In the second phase, the orthodontist will be looking at how your child’s teeth and jaws fit and function together. Your child’s teeth will be straightened and their occlusion (bite) will be properly aligned. Attention will be given to the jaw joint (TMJ), the facial profile and periodontal (gum) tissues. By undergoing treatment in the first phase, orthodontists can usually reduce the amount of time needed for braces.
Facts: Early Treatment Is Important to Consider!
Facial Development -75% of 12-year-olds need orthodontic treatment. Yet by age 12, 90% of a child's face has already developed. By guiding facial development through the use of functional appliances, 80% of the issues can be corrected before adult teeth are present.
Cooperation - Children between the ages of 8 and 11 are often much more cooperative than children between the ages of 12 and 14.
Shorter Treatment Time - Early Phase One treatment can reduce the total time spent in fixed braces.
Correcting Underdeveloped or Overdeveloped Jaws - Nearly 55% of children needing orthodontic treatment due to a bad bite have underdeveloped or overdeveloped jaws. Functional appliances and/or limited braces can reposition the jaws, improving the child's profile and correcting the bite problem within 7 to 9 months.
Dr. Minutillo's office is a state of the art pediatric dental center. We utilize an intra oral camera so you and your child can see what is going on inside their mouth! Our high tech sterilization techniques ensure the safety of your child's treatment. Our fully computerized facility allows for more efficient and convenient visits to our office.
We have televisions at every chair and cartoons for your child to enjoy. We feel our modern practice and state of the art technology enhance the outstanding care we strive to provide our young patients.
Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that do not work well under conscious sedation or I.V. sedation. General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed or having a hernia repaired. Outpatient General Anesthesia is performed in a hospital or outpatient setting only. While the assumed risks are greater than that of other treatment options, the benefits of this treatment greatly outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000, far better than the assumed risk of driving a car. If this is not chosen, your child risks having multiple appointments, potential for physical restraint to complete treatment, and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from a dental infection.
Prior to your appointment:
- Please notify us of any change in your child’s health. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
- Please inform the doctor of any prescriptions that your child is currently taking and any drug reactions and/or change in medical history.
- Please dress your child in loose fitting, comfortable clothing.
- Your child should not have milk or solid food after midnight prior to the scheduled procedure, and ONLY clear liquids like water, apple juice, or Gatorade for up to 6 hours prior to the appointment.
- The child’s parent or legal guardian must remain at the hospital or surgical site waiting room during the complete procedure.
After the appointment:
- Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
- If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea.
- Your child's first meal should be light and easily digestible.
- If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
- Prior to leaving the hospital/outpatient center, you will be given a detailed list of "Post-Op Instructions" and an emergency contact number if needed.
Some children are given nitrous oxide/oxygen - or what you may know as laughing gas - to relax them for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. Nitrous oxide/oxygen is given through a small breathing mask which is placed over the child’s nose, allowing them to relax without putting them to sleep. The American Academy of Pediatric Dentistry recognizes this technique as a very safe, effective technique for treating children’s dental needs. The gas is mild, easily taken, and it is quickly eliminated from the body and it is non-addictive. While inhaling nitrous oxide/oxygen, your child remains fully conscious and maintains all of their natural reflexes.
Prior to your appointment:
- Please inform us of any change to your child’s health and/or medical condition.
- Tell us about any respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of the nitrous oxide/oxygen.
- Let us know if your child is taking any medication on the day of the appointment.